PAROCHIAL MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PAROCHIAL MEDICAL CENTER (EIN 23-2300834)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-03-21
IRS object ID
201230819349300718
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-03-21T09:47:50-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SNIEGOCKI & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 606AddressLine1
CityPALMYRACity
StatePAState
ZIP Code17078ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232300834EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PAROCHIAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPARONameControl
Phone7175560702Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 WEST MAIN STREETAddressLine1
CityNEW HOLLANDCity
StatePAState
ZIP Code17557ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMELVIN H HOOVERName
TitleTREASURERTitle
Phone7175560702Phone
Date Signed2012-03-03DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameSUE A HARVEYName
Phone7178382682Phone
Date Prepared2012-03-16DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts1220550GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE PHYSICAL AND MENTAL HEALTH CARE SERVICES TO THE UNINSURED AND PROMOTE HEALTH AND WELL BEING OF INDIVIDUALS IN SOUTH CENTRAL PENNSYLVANIA.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees19TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1088449ProgramServiceRevenuePriorYear
Program Service Revenue CY1216843ProgramServiceRevenueCY
Investment Income Prior Year3972InvestmentIncomePriorYear
Investment Income Current Year3707InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1092421TotalRevenuePriorYear
Total Revenue Current Year1220550TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year768168SalariesEtcPriorYear
Salaries Etc Current Year675331SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year397759OtherExpensePriorYear
Other Expenses Current Year443365OtherExpensesCurrentYear
Total Expenses Prior Year1165927TotalExpensesPriorYear
Total Expenses Current Year1118696TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-73506RevenuesLessExpensesPriorYear
Revenues Less Expenses CY101854RevenuesLessExpensesCY
Total Assets BOY342139TotalAssetsBOY
Total Assets EOY341774TotalAssetsEOY
Total Liabilities BOY192437TotalLiabilitiesBOY
Total Liabilities EOY90218TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY149702NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY251556NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE PHYSICAL AND MENTAL HEALTH CARE SERVICES TO THE UNINSURED AND PROMOTE HEALTH AND WELL BEING OF INDIVIDUALS IN SOUTH CENTRAL PENNSYLVANIA.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense987131Expense
DescriptionAPPROXIMATELY 7,300 PATIENTS OF THE PLAIN AND UNINSURED COMMUNITY RECEIVED HEALTH CARE SERVICES.Description
Total Program Service Expense987131TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees19NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMELVIN HOOVERNamePerson
Telephone Number7175560702TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11065 WEST MAIN STREETAddressLine1
CityNEW HOLLANDCity
StatePAState
ZIP Code17557ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
STEVE HUYARD
DIRECTOR1.00X000
BEN BEILER
DIRECTOR1.00X000
PAUL BURKHOLDER
DIRECTOR1.00X000
ELAM STOLTZFUS
DIRECTOR1.00X000
MERVIN M MARTIN
DIRECTOR1.00X000
SAMUEL HERSCHBERGER
DIRECTOR1.00X000
ALLEN HOOVER
SECRETARY1.00599100X
DANIEL LAPP
CHAIRMAN2.00000X
SAM KINSINGER
V CHAIRMAN1.00000X
MELVIN HOOVER
TREASURER4.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5991TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OFFICE VISITS608044608044
LAB WORK/E-RAY258498258498
MEDICATIONS181705181705
PROCEDURES/SUPPLIES139622139622
RENTAL2910029100

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column-126TotalRevenueColumn
Related Or Exempt Function Income-126RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1216843TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3707TotalRevenueColumn
Exclusion$3,707ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1220550TotalRevenueColumn
Related Or Exempt Function Income1216843RelatedOrExemptFunctionIncome
Exclusion$3,707ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total630256Total
Program Services570417ProgramServices
Management And General59839ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total45075Total
Program Services45075ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total313Total
Management And General313ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7019Total
Management And General7019ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total627Total
Program Services627ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19684Total
Management And General19684ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total23727Total
Program Services23727ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total893Total
Management And General893ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1806Total
Program Services1806ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total27073Total
Program Services27073ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OUTSIDE PROFESSIONAL SERV9086490864
MEDICINES & SUPPLIES8901789017
LAB FEES & SUPPLIES6067560675
OPERATING SUPPLIES3305033050

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total88617Total
Program Services77850ProgramServices
Management And General10767ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1118696Total
Program Services987131ProgramServices
Management And General131565ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY22479BOY
EOY52515EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY93702BOY
EOY76230EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis650400LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec443211LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY225958BOY
EOY207189EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY5840EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY342139BOY
EOY341774EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY117437BOY
EOY15218EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY60000BOY
EOY60000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15000BOY
EOY15000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY192437BOY
EOY90218EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY149702BOY
EOY251556EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY149702BOY
EOY251556EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY342139BOY
EOY341774EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses101854ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedfalseFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11667CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18822CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years183667CurrentTaxYearMinus2Years
Total214156Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years968397CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1038736CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1041353CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1088449CurrentTaxYearMinus1Year
Current Tax Year1216843CurrentTaxYear
Total5353778Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years980064CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1057558CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1225020CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1088449CurrentTaxYearMinus1Year
Current Tax Year1216843CurrentTaxYear
Total5567934Total
FieldValueIRS element (for citing)
Public Support Total5095567934PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4985CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2863CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1341CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3972CurrentTaxYearMinus1Year
Current Tax Year3707CurrentTaxYear
Total16868Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4985CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2863CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1341CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3972CurrentTaxYearMinus1Year
Current Tax Year3707CurrentTaxYear
Total16868Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years985049CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1060421CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1226361CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1092421CurrentTaxYearMinus1Year
Current Tax Year1220550CurrentTaxYear
Total5584802Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99700PublicSupportPercentage509
Prior Year Support Percentage0.99680PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis40000OtherCostOrOtherBasis
Book Value40000BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis484393OtherCostOrOtherBasis
Depreciation360413Depreciation
Book Value123980BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis126007OtherCostOrOtherBasis
Depreciation82798Depreciation
Book Value43209BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings207189TotalOfBookValueLandBuildings

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonS KINSINGERNamePerson
Purpose Of LoanCASH FLOW NEEDSPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$175,000OriginalPrincipalAmount
Balance Due60000BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementfalseWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due60000TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC

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